Cystitis 

Introduction 

Urinary tract infections (UTIs)

An expert talks about how urinary tract infections (UTIs) are caused, the symptoms and the treatment options available.

Should you see a doctor?

Children and men should always see their GP if they have symptoms of cystitis.

Women should always see their GP the first time they have the symptoms of cystitis. They should also return to their GP if they have the condition more than three times in one year.

Find out more about how cystitis is diagnosed.

Symptom checker

If you have a health problem, our symptom checker can help you manage it or find out where to go for help

Cystitis is inflammation of the bladder. It's usually caused by an infection in the bladder, but can also be caused by irritation or damage (from friction during sex, for example).

Symptoms of cystitis are:

  • an urgent need to urinate often
  • pain or stinging when you urinate

Cystitis usually passes within a few days, or sometimes may need treatment with antibiotics.

Untreated bladder infections can cause kidney infections.

Cystitis in women

Cystitis is more common in women because women have a short urethra (the tube that carries urine from the bladder out of the body). The urethra's opening is also located very close to the anus (bottom), which makes it easy for bacteria from the anus to reach the bladder and cause an infection. 

Almost all women will have cystitis at least once in their lifetime. Around one in five women who have had cystitis will get it again (known as recurrent cystitis). Cystitis can occur at any age, but it is more common in:

  • pregnant women
  • sexually active women
  • post-menopausal women (women who have been through menopause)

Cystitis in men

Cystitis is less common in men. It can be more serious in men because it could be caused by:

  • an underlying bladder or prostate infection, such as prostatitis
  • an obstruction in the urinary tract, such as a tumour, or an enlarged prostate (the gland located between the penis and the bladder)

Male cystitis is not usually serious if treated quickly, but it can be very painful. Sexually active gay men are more likely to get cystitis than other males.

Outlook

Mild cystitis usually clears up within 4-9 days. You can treat it at home by drinking plenty of water (around 1.2 litres or 6-8 glasses every day) and taking painkillers, such as paracetamol or ibuprofen. More severe cystitis can also cause abdominal pain or fever, and may need treatment with antibiotics.

Seeing a doctor

Children and men should always see their GP if they have symptoms of cystitis. Women should always see their GP the first time they have the symptoms of cystitis. They should also return to their GP if they have the condition more than three times in one year.

Find out more about:

  • show glossary terms
Anus
The opening at the end of the digestive system where solid waste leaves the body.
Kidneys
Kidneys are a pair of bean-shaped organs located at the back of the abdomen. They remove waste and extra fluid from the blood, and pass them out of the body as urine.
Prostate
A small gland found only in men, located in the pelvis, between the penis and the bladder.
Urethra
The tube that carries urine from the bladder out of the body.

Last reviewed: 04/10/2011

Next review due: 04/10/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

Kirsty_ said on 21 April 2013

i am 15, nearly 16, ive had cystitis for a couple of years now.. i am sexually active but when i first started getting cystitis i was not. i have been to the doctors, given them a urine sample, it came back that i have no infections, so what could possibly be creating this if i have no infection?

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Bargain hunt said on 06 March 2013

40 year old female . I have tried EVERYTHING ,, mannose is expensive I tried 3 lots £60 plus and it didn't work (not to sure the recommendations are genuine ), that's not to say it won't work for you . Washing before after sex , drinking gallons of water , light underwear , no coffee . Nothing worked . Infections continually , antibiotics fortnightly .
Finally went to see urologist , I now take nitrofurontoin 6 hours before and then another one 6 hours after sex . Even after a week pain free I feel so much better , still have to go for a cystoscopy which I'm not looking forward to but best to check everything is ok .
Always have some cymalon sachets handy and when ever you feel a tinge take one it takes the edge off the pain . Go and see a urologist if you can get referred .

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Juliet007 said on 23 February 2013

Try Mannose, I took the advice from this page, it does work waterfall mannose, many shops sell it, long term intermittent sufferer. Hoping this is it!

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serenity2013 said on 02 January 2013

I am almost in tear after reading the comments above. It is coming to 6am and I java spent a miserable night. This OS the second night of a short break with ky partner after we had been apart for some months. I suspectssd that I would start feeling the symptoms of cyctitis last night and I was right. As many have written, cystitis has been the bane of my life since o became sexually active. That is over 40 years ago! What is sad OS that for over 15 years I thought my partners had given me an STD!
It's recurring more often as I am so dry now I am older and I am beginning to suspect that the lubricants I use could also cause cystitis. As a result I fear to have sex, which makes me more dry, so its vicious circle that's ruining my sex life and my relationship! And I know there many young girls who will suffer the same fate!

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Laura543 said on 07 December 2012

I have had cystitis on and off since childhood but over the last couple of years I find myself with recurrent cystitis every other week. I can't sleep because of it, I can't sit down, I can't drive, I can hardly walk, I have a high temperature, I am nauseous, it burns to pee and hardly anything comes out and I need to go all the time.
I have been on lots of different anti biotics and have now been put on a 3 month course of 'Trimethopirm' ...for the first few times the infection seemed to be responsive to Macrodantin but now it takes longer and longer for the pain to go and my latest course of Cefalexin has not worked at all.
The doctors are really unsympathetic, I feel frustrated, upset and angry that nothing more is being done to investigate this condition.
I'm going to try mannose thanks to your reccommendations - i'm determined to find an alternative way to overcome this.

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sarahmellangell said on 09 August 2012

Hi, i second what Spayne has said! My life has totally been changed by taking a pure dose of mannose. I searched for ages for an alternative to antibiotics and cranberry really did not help! Mannose can completely remove the bacteria from your bladder in a short amount of time as it attaches itself to bacteria and then you pass it out.
If only one person who sees this is helped by it then i will be happy as this is such a horrible condition to have to live with.

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spayne said on 16 February 2012

by the way mannose is not the same as the stuff you buy in chemists, which doesn't work at all for me. And sorry for the double post, don't know how that happened.

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spayne said on 16 February 2012

I get so frustrated by this - I recommend anyone with cystitis PLEASE try taking a powder called mannose. I won't recommend a site to buy it from as I don't want this to be mistaken for a sales pitch- there are loads of sites around selling it. I was taking antibiotics constantly before I found it, and they stopped working pretty much. mannose saved me! It's a concentrated sugar, the same kind of thing that is found in cranberry juice. It works in 80% of infections (the ones caused by e-coli) and gives you relief within hours, and can be taken harmlessly as a maintenance dose to prevent recurrences. I tried telling my doctor about it but she wasn't interested - it's ridiculous that antibiotics remain the only line of defence for this condition!

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sharna85 said on 31 December 2011

im 26, I had cervical cancer in 2010, i had the all clear in march 2011, i had to have radiotherapy to my pelvis area, i now am suffering from radiation cystitus :-( i have blood in my urine and cystitus burning sensation i find if i dont drink enough i get blood clots too. does anyone know if cranberry berries would ease this?

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rosie_p said on 13 November 2011

To the commenter below who's had recurring cystitis for 8 years, just want to say that my mum had this after she had a caesaren- the usual antibiotics wouldn't work and it just would keep coming back. What she did was ask for an extra strength antibiotic and that seemed to finally zap it all! Everyone's different I guess, but worth a go if you haven't already asked your gp.
I know how horrible this problem is, I went through a phase of getting it every few months when I first became sexually active. now it's about once a year and it's awful when it happens. Even when you don't have it, being prone to cystitis really restricts you in what you can do, you're hesitant about sex, what shower gel you can use, even going swimming in case the chlorine causes irritation, ugh!
What I find really good for the pain is a couple of alka seltzers, takes the burning away. Also, a hot water bottle on your lower abdomen, where your bladder is I guess, helps too. What I'd recommend to anyone who is suffering this for the first time is get an appointment with your doctor asap. Ask them to put you on the triarge list if you can't get an appointment that same day. In my experience it doesn't go away by itself so get to the gp and ask for some antibiotics.

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rosie_p said on 13 November 2011

To the commenter below who's had recurring cystitis for 8 years, just want to say that my mum had this after she had a caesaren- the usual antibiotics wouldn't work and it just would keep coming back. What she did was ask for an extra strength antibiotic and that seemed to finally zap it all! Everyone's different I guess, but worth a go if you haven't already asked your gp.
I know how horrible this problem is, I went through a phase of getting it every few months when I first became sexually active. now it's about once a year and it's awful when it happens. Even when you don't have it, being prone to cystitis really restricts you in what you can do, you're hesitant about sex, what shower gel you can use, even going swimming in case the chlorine causes irritation, ugh!
What I find really good for the pain is a couple of alka seltzers, takes the burning away. Also, a hot water bottle on your lower abdomen, where your bladder is I guess, helps too. What I'd recommend to anyone who is suffering this for the first time is get an appointment with your doctor asap. Ask them to put you on the triarge list if you can't get an appointment that same day. In my experience it doesn't go away by itself so get to the gp and ask for some antibiotics.

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Johurst88 said on 03 November 2011

I always get cystitis! - on and off since I was a girl but it is only as an adult I have noticed the patterns. I seem to get it if I don't drink enough water, the best way to check this is the colour of your pee. If its yellowy colour then that's not good and means you need to drink more water.
If I want to drink coffee during the day then I make sure I have a bottle of water on my desk at work to sip at too. If I want to go out drinking alcohol then before I go to bed have a pint of water (this also helps the hag over too!).
Also if I feel like my cystitis is coming on I drink a whole carton of cranberry juice (usually 'ocean spray' as they have a higher content of cranberry in it), or if you can find them in the shops, real cranberry fruit is good too!
If it keeps coming back, I sometimes buy treatment from the chemist which usually comes in powder form which you mix with a drink, and I make sure I drink a glass of cranberry every day.
I would book an appointment with the doctor, even when it hurts and there is a bit of blood (as stated in the video), but usually by the time I get an appointment the above system I've put in place has usually already sorted it out!

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Johurst88 said on 02 November 2011

I have had cystitis on and off since I was a child and only as an adult have I found a pattern. I find I get cystitis if I don't drink enough water. If I want to drink alcohol or coffee, I make sure I drink water as well throughout the day, and if I've been drinking alcohol on a night out, I have a pint of water before I get ready for bed. Also if I feel like my cystitis is coming on, I drink a whole carton of cranberry juice, and try to nip it in the bud, or if you can find them in the shops, actual cranberry fruit. If my cystitis keeps coming back, I sometimes use cystitis treatment from the chemist, and make sure I drink a glass of cranberry every day to keep the levels up. I do this because by the time I actually get an appointment for the doctors for anti-bi the cranberry usually has already sorted it out!

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Johurst88 said on 02 November 2011

I have had cystitis on and off since I was a child and only as an adult have I found a pattern. I find I get cystitis if I don't drink enough water. If I want to drink alcohol or coffee, I make sure I drink water as well throughout the day, and if I've been drinking alcohol on a night out, I have a pint of water before I get ready for bed. Also if I feel like my cystitis is coming on, I drink a whole carton of cranberry juice, and try to nip it in the bud, or if you can find them in the shops, actual cranberry fruit. If my cystitis keeps coming back, I sometimes use cystitis treatment from the chemist, and make sure I drink a glass of cranberry every day to keep the levels up. I do this because by the time I actually get an appointment for the doctors for anti-bi the cranberry usually has already sorted it out!

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User612038 said on 01 November 2011

This is just pure rubbish.... for any1 who gets this constantly will under stand what I mean! why is there no cure other then anti-bi's surly some medical professional some where in the world can find a cure all your gp says is anti-bi's which never work god we are getting punished! all the things we enjoy sex, alcohol, coffee etc all triggers this off! I'd love to know if a cure could ever be found as i Have had this for 8 years and hate it

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